=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548218837
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GIUSEPPE A DEABATE APRN
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2006
-----------------------------------------------------
Last Update Date | 10/10/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 132 N MARKET ST
-----------------------------------------------------
City | EAST PALESTINE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44413-2019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-426-9484
-----------------------------------------------------
Fax | 330-426-2248
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 132 N MARKET ST
-----------------------------------------------------
City | EAST PALESTINE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44413-2019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-426-9484
-----------------------------------------------------
Fax | 330-426-2248
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2200X
-----------------------------------------------------
Taxonomy Name | Adult Health Nurse Practitioner
-----------------------------------------------------
License Number | APRN.CNP.15692
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APRN.CNP.15692
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------